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WGU D119 PEDIATRIC PRIMARY CARE FINAL EXAM – OBJECTIVE ASSESSMENT ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

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Prepare for the WGU D119 Pediatric Primary Care objective assessment final exam with this comprehensive question bank. Contains actual exam questions with correct detailed verified answers covering all essential pediatric primary care domains: developmental milestones (telegraphic speech 18 months, stranger anxiety 9-12 months, parallel play toddlers, gross motor delays, fine motor raking motion 12 months, premature infant development), newborn care (breastfeeding patterns, bowel movement changes, weight gain, sleep safety SIDS prevention back to sleep, caput succedaneum, cephalohematoma), anticipatory guidance (discipline vs punishment, curiosity and exploration, setting limits, bilingual language development, toilet training readiness, dental health first dental visit by age 1, fluoride varnish), common pediatric conditions (colic management, sleep problems self-soothing, elimination disorders encopresis constipation, otitis media OME vs AOM treatment, bronchiolitis supportive care, croup laryngotracheobronchitis, asthma classification and step therapy, pneumonia atypical vs typical treatment), dermatology (tinea versicolor, atopic dermatitis, impetigo honey-crusted lesions, scabies burrows, Mongolian spots, candidal diaper rash satellite lesions), infectious diseases (fifth disease pregnancy risks, roseola fever then rash, measles Koplik spots, scarlet fever sandpaper rash, pertussis post-exposure prophylaxis, Lyme disease treatment in children under 8 amoxicillin), developmental and behavioral disorders (autism spectrum disorder M-CHAT screening, ADHD symptoms and management, generalized anxiety disorder GAD, obsessive-compulsive disorder OCD cognitive behavioral therapy, depression screening and management, eating disorders anorexia nervosa), genetic and congenital disorders (Down syndrome cervical spine evaluation before sports, Turner syndrome, Klinefelter syndrome, fragile X, neurofibromatosis café-au-lait spots), cardiology (congenital heart disease VSD, ASD, PDA, TOF tetralogy of Fallot, coarctation of aorta, murmur grading Still’s murmur, S2 fixed split ASD), hematology and oncology (iron deficiency anemia microcytic hypochromic, beta-thalassemia minor, sickle cell disease fever admission criteria, leukemia CBC with differential, Wilms tumor abdominal mass do not palpate, Hodgkin lymphoma Reed-Sternberg cells, osteosarcoma), nephrology (nephrotic syndrome edema proteinuria hypoalbuminemia, acute glomerulonephritis, vesicoureteral reflux grading, Henoch-Schönlein purpura, hemolytic uremic syndrome), endocrinology (hypothyroidism congenital screening, growth hormone deficiency, constitutional growth delay, premature adrenarche PCOS risk, delayed puberty, thyroid storm management), and musculoskeletal (developmental dysplasia of the hip Ortolani Barlow, Legg-Calvé-Perthes disease, slipped capital femoral epiphysis SCFE, Osgood-Schlatter disease, clubfoot talipes equinovarus Ponseti casting, metatarsus adductus, scoliosis Adam’s forward bend test). Essential for WGU D119 pediatric primary care nurse practitioner final exam success.

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WGU D119 PEDIATRIC PRIMARY CARE FINAL EXAM:
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OBJECTIVE ASSESSMENT EXAM i i



QUESTIONS AND CORRECT DETAILED ANSWERS i i i i



VERIFIED ANSWERS i




Aphthous Ulcers (Canker sores) - ✔✔✔ Correct Answer >
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Benign Migratory Glossitis - ✔✔✔ Correct Answer >
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Diastema - ✔✔✔ Correct Answer > A space between two teeth
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Gingival Hyperplasia - ✔✔✔ Correct Answer >
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Mucocele - ✔✔✔ Correct Answer > he individual should be referred to an
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oral surgeon for surgical excision (Fig 23.10).
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Pericoronitis - ✔✔✔ Correct Answer > inflammation around the crown of
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a partially erupted tooth
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Ranula - ✔✔✔ Correct Answer > . The cyst should be excised by an oral
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surgeon i




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During a well-child assessment of an 18-month-old child, you
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observe that the child points to a picture of a dog and says, "Want
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puppy!" i




What type of speech is this an example of?
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Telegraphic i




Receptive i




Semantic i




Holographic - ✔✔✔ Correct Answer > Correct! Syntax (the structure of i i i i i i i i i i i



words in sentences or phrases) is developed in stages between the
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ages of eight months and three and a half years. Telegraphic
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speech begins at about 18 months of age when children speak in
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phrases with many words omitted, so that the sentence sounds
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like a telegram. Holographic speech is the use of a single word to
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express a complete idea. Receptive speech refers to the ability to
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understand a word without necessarily being able to use the word. i i i i i i i i i i i



Semantics is the understanding that words have specific i i i i i i i i



meanings. i

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While you are discussing anticipatory guidance with the mother of
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a 12-month-old, the child repeatedly pulls objects out of the
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mother's purse. Each time, the mother slaps the child's hands asi i i i i i i i i i i



she takes the objects away.
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What should you recommend for helping the mother manage this
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child's misbehavior in a developmentally appropriate manner?
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Place acceptable objects in her purse for the child to find.
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Keep her purse up high and out of the child's reach.
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Use time-out each time the child gets into the purse.
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Say "No!" instead of slapping the child's hands. - ✔✔✔ Correct Answer >
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Correct! Parents should provide a developmentally appropriate
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environment to minimize children's misbehavior. Children at this i i i i i i i i



age are naturally curious and will explore the environment,
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seeking out objects within their reach. It is easier to put the purse
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out of reach than to repeatedly say, "No." Putting acceptable
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objects in her purse only reinforces the undesired behavior of
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getting things out of the mother's purse. i i i i i i i


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During a newborn wellness visit, the priority is to attend to the
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concerns of the parent. i i i i




True i




False - ✔✔✔ Correct Answer > Correct! Newborns present a challenge
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to all parents, and understanding how the parents are accepting
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and caring for their newborn is paramount to the child's growth and
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development. When you evaluate all aspects of parental i i i i i i i i

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